Jespersen Nizamic, Tiana
Jespersen Nizamic, Tiana is an individual health care provider with primary practice located at 700 W Ironwood Dr Ste 375 , Coeur D Alene ID 83814-4401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Jespersen Nizamic, Tiana can be contacted via phone (208) 625-6100.Contact Information
Primary practice address
700 W Ironwood Dr Ste 375
Coeur D Alene ID 83814-4401
Phone: (208) 625-6100
Fax: (208) 625-6101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | M-15908 | Idaho |
Profile Details
| NPI number | 1891182911 |
|---|---|
| LBN Legal business name | Jespersen Nizamic, Tiana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2015 |
| Last updated | May 1st, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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